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Risk Stratification of Lung Transplant Candidates: Implications for Organ Allocation

Robert M. Kotloff, MD
[+] Article, Author, and Disclosure Information

From University of Pennsylvania Medical Center, Philadelphia, Pennsylvania.

Potential Conflicts of Interest: None disclosed. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M13-0666.

Requests for Single Reprints: Robert M. Kotloff, MD, 838 West Gates Building, University of Pennsylvania Medical Center, 3400 Spruce Street, Philadelphia, PA 19104; e-mail, kotloffr@uphs.upenn.edu.

Ann Intern Med. 2013;158(9):699-700. doi:10.7326/0003-4819-158-9-201305070-00011
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In this issue, Tsuang and colleagues identify a new variable that independently predicts survival after lung transplantation: an increase in the lung allocation score 30 days before transplantation. The editorialist discusses the study and its findings, and concludes that the study should prompt a discussion about whether the current allocation system should be modified to limit access for candidates with unacceptably low predicted posttransplantation survival.

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